Individual
LAURA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20145 ASHBROOK PL STE 180, ASHBURN, VA 20147-3373
(571) 601-0313
Mailing address
20145 ASHBROOK PL STE 180, ASHBURN, VA 20147-3373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012922
VA
Other
Enumeration date
10/28/2022
Last updated
09/20/2024
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